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  1. Selective opportunistic screening for hypercholesterolemia in primary care practice.

    Article - En anglais

    Objectives 

    To assess the performance of selective opportunistic screening in a primary care group practice.

    Design 

    Cross-sectional survey of coronary heart disease risk factors and retrospective chart audit of cholesterol testing.

    Setting 

    Capitation-funded primary care group practice in Ontario, Canada.

    Subjects 

    7785 enrolled patients between the ages of 20 and 69 years.

    Intervention 

    Protocol-based selective opportunistic screening program for hypercholesterolemia of 45 months duration.

    Main Outcome Measures 

    Targeting (proportion of screening tests that were appropriate), coverage (proportion of those meeting screening criteria who had a screening test performed), over-screening (proportion of those not meeting screening criteria who had a screening test performed), and screening ratio (likelihood that a screening test was performed on an individual who met screening criteria rather than one who failed to meet screening criteria).

    Results 

    64.7% of patients tested met the practice criteria for screening. 37.7% of patients who met the practice screening criteria were tested and 24.9% of those not meeting practice screening criteria had a cholesterol test performed.

    The screening ratio was 1.52.

    Conclusion 

    Our findings bring into question the effectiveness of opportunistic approaches to preventive care.

    Mots-clés Pascal : Hypercholestérolémie, Dépistage, Programme sanitaire, Epidémiologie, Evaluation, Homme, Canada, Amérique du Nord, Amérique, Lipide, Métabolisme pathologie, Dyslipémie, Hyperlipoprotéinémie

    Mots-clés Pascal anglais : Hypercholesterolemia, Medical screening, Sanitary program, Epidemiology, Evaluation, Human, Canada, North America, America, Lipids, Metabolic diseases, Dyslipemia, Hyperlipoproteinemia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0510941

    Code Inist : 002B22A. Création : 23/03/1999.